Individual provider Active NPI

Victor A Oranusi, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1336246065
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A63000 Issued in CA
Practice address
5850 S Main St
Los Angeles, CA 90003-1215
Phone
(323) 846-4312
Fax
(323) 232-8115
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A63000 CA Primary
Internal Medicine Physician 207R00000X A63000 CA

Addresses

Primary practice location

5850 S Main St
Los Angeles, CA 90003-1215

Mailing address

5850 S Main St
Los Angeles, CA 90003-1215
Phone (323) 846-4312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000599 CA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 0345268157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3737 Martin Luther King Jr Blvd
Suite 105
Lynwood, CA 90262-3523
Phone (310) 762-2395

Hospital & facility affiliations

  • Relevant Home Health Services, LLC Home health agency, Stanton, CA, CCN 559336
  • Lac/Rancho Los Amigos National Rehabilitation Ctr Hospital, Downey, CA, CCN 050717
  • Lac/Rancho Los Amigos National Med Ctr Inpatient rehabilitation facility, Downey, CA, CCN 05T717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A63000CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor a. Oranusi MD Inc CurrentSince Nov 20, 2010 Accepting new patients
St Francis Medical Center Past Accepting new patients
Christylcare Medical Group Geriatric Medicine Past Accepting new patients

Locations

3737 Martin Luther King Jr Blvd
Ste 105
Lynwood, CA 90262
Phone (213) 628-3592

3611 Martin Luther King Jr Blvd
Ste 108
Lynwood, CA 90262
Phone (310) 537-2588

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1336246065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031215",
            "telephone_number": "323-846-4312",
            "fax_number": "323-232-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031215",
            "telephone_number": "323-846-4312",
            "fax_number": "323-232-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORANUSI",
        "first_name": "VICTOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A63000",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.